Endometriosis-related spontaneous hemoperitoneum in the early second trimester: A case report

Lan-Yin Huang, Huang LY, Pei-Yang Hsu, Hsu PY, Chun-Ting Chiang, Chiang CT, Chen HW, Hui-Wen Chen, Hui‐Wen Chen, Meng‐Hsing Wu, Meng-Hsing Wu, Wu MH
Taiwanese journal of obstetrics & gynecology · 2021 · vol. 60(2) , pp. 328–330 · doi:10.1016/j.tjog.2021.01.032 · PMID:33678336 · W3135810254
Case report OA: diamond CC0 ⤵ 9 in-corpus citations
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This case report describes a pregnant woman with subacute abdominal pain due to endometriosis-related spontaneous hemoperitoneum, which presented like peritonitis and led to maternal shock and fetal demise.

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Abstract

OBJECTIVE: To present a rare case of endometriosis-related spontaneous hemoperitoneum in pregnancy (SHiP) with atypical subacute symptoms, which is likely to be mistaken as an infectious disease initially. CASE REPORT: A 35-year-old primigravid woman presented with diffuse lower abdominal pain and signs of peritoneal irritation for five days at 18 weeks' gestation, and the initial diagnosis was acute peritonitis. An abrupt deterioration with maternal shock and stillbirth of fetus was found in spite of close observation in emergent department. Emergent laparotomy was performed for delay-appeared hemoperitoneum. Bleeding from decidualized endometriotic tissue over posterior uterine surface was found, and hemostasis was achieved with uterine preservation. The patient recovered smoothly. CONCLUSION: SHiP is a serious obstetric complication of endometriosis with diagnostic difficulty. Its initial presentation may mimic infectious disease, so close monitoring for possible abrupt deterioration is crucial. Early detection and timely management are the key to avoid adverse pregnancy outcomes.

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Condition tags

endometriosis

MeSH descriptors

Abdominal Pain Endometriosis Hemoperitoneum Pregnancy Complications Abdominal Pain Abdominal Pain Abdominal Pain Adult Adult Endometriosis Endometriosis Female Female Fetal Death Fetal Death Fetal Death Hemoperitoneum Hemoperitoneum Hemoperitoneum Humans

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (10)

Cited by (9)

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License: CC0 · commercial use OK